Acacia Adult Day Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000363 Issued in CA

Legal business name

ACACIA ADULT DAY SERVICES

Practice address

11391 Acacia Pkwy
Garden Grove, CA 92840-5310

Phone

(714) 530-1566

Fax

(714) 530-1592

NPI assigned

Aug 23, 2005

Last updated

Mar 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mallory Vega

Title

Executive Director

Phone

(714) 530-1566

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evelyn Machan Andamo, O.T.

  • Occupational Therapist
  • Garden Grove, CA
  • NPI 1144507914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1881687176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11391 ACACIA PKWY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405310",
            "telephone_number": "714-530-1566",
            "fax_number": "714-530-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11391 ACACIA PKWY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405310",
            "telephone_number": "714-530-1566",
            "fax_number": "714-530-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-530-1566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "ADU70087F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharif Abedrabo
• Cilicia Abelarde
• Efren B Ablis Jr., P.T
• Yara Abuhamdieh
• Mary Lu Abundez
• Acceptance Hospice, Inc.
• Ace Physical Therapy & Rehab, Inc.
• Liliana Teresita Acevedo Miramontes, CNM, WHNP-BC
• Anis Acevedo
• Stacy Acevedo

• Adult Day Care Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.